Introduction

Acute renal failure (ARF) is a serious complication of trauma and has a high mortality. In large trauma population a low incidence of ARF is generally reported from 0.098% to 8.9%¹. Retrospective studies focused only on those patients who developed ARF and required dialysis. Great importance for the development of ARF after trauma was attributed to pre-existing pathological conditions such as diabetes hypertension etc. But a prospective analysis of the risk factors especially in severely ill patients admitted in ICU is still lacking.

Acute kidney injury (AKI) is a rapidly progressive loss of renal function, generally characterized by oliguria (decreased urine production, quantified as less than 400 ml per day in adults, less than 0.5 mL/kg/h in children or less than 1 mL/kg/h in infants); and fluid and electrolyte imbalance².

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Dr Geeta Ghag

Associate Professor, Department of General Surgery,

RN Cooper Hospital and HHBT Medical College, Mumbai, India

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